Laurel Haeusslein1, Dawn Gano2, Caryl L Gay1, Rebecca M Kriz1, Robin Bisgaard3, Myrna Vega3, Diana M Cormier4, Priscilla Joe5, Valencia Walker6, Jae H Kim7, Carol Lin8, Yao Sun9, Linda S Franck1. 1. Department of Family Health Care Nursing, University of California, San Francisco, San Francisco, California, USA. 2. Department of Neurology and Pediatrics, UCSF, San Francisco, California, USA. 3. Intensive Care Nursery, UCSF Benioff Children's Hospital, San Francisco, California, USA. 4. NICU and Pediatrics, Community Regional Medical Center, Fresno, California, USA. 5. Division of Neonatology, UCSFG Benioff Children's Hospital, Oakland, California, USA. 6. Department of Pediatrics, Division of Neonatology, The Ohio State University College of Medicine, Columbus, Ohio, USA. 7. Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. 8. Division of Neonatology, Kaiser Permanente Santa Clara, California, USA. 9. Division of Neonatology, UCSF Benioff Children's Hospital, San Francisco, California, USA.
Abstract
BACKGROUND: Social support is associated with decreased symptoms of postpartum mood and anxiety disorders (PMAD) in mothers of healthy infants, but less is known about social support and PMADs in mothers with preterm infants. The purpose of this study was to examine the relationship between social support and symptoms of PMADs reported by mothers in the months following hospital discharge of their preterm infant. METHODS: Mothers of infants less than 33 weeks gestational age were enrolled from neonatal intensive care units (NICU) at 6 sites. Mothers completed PMAD measures of depression, anxiety and post-traumatic stress approximately 3 months following their infant's discharge. Multivariable regression was used to evaluate relationships between social support and PMAD measures. RESULTS: Of 129 mothers, 1 in 5 reported clinically significant PMAD symptoms of: depression (24%), anxiety (19%), and post-traumatic stress (20%). Social support was strongly inversely associated with all 3 PMADs. Social support explained between 21% and 26% of the variance in depression, anxiety and post-traumatic stress symptoms. CONCLUSION: Increased social support may buffer PMAD symptoms in mothers of preterm infants after discharge. Research is needed to determine effective screening and interventions aimed at promoting social support for all parents during and following their infant's hospitalisation.
BACKGROUND: Social support is associated with decreased symptoms of postpartum mood and anxiety disorders (PMAD) in mothers of healthy infants, but less is known about social support and PMADs in mothers with preterm infants. The purpose of this study was to examine the relationship between social support and symptoms of PMADs reported by mothers in the months following hospital discharge of their preterm infant. METHODS: Mothers of infants less than 33 weeks gestational age were enrolled from neonatal intensive care units (NICU) at 6 sites. Mothers completed PMAD measures of depression, anxiety and post-traumatic stress approximately 3 months following their infant's discharge. Multivariable regression was used to evaluate relationships between social support and PMAD measures. RESULTS: Of 129 mothers, 1 in 5 reported clinically significant PMAD symptoms of: depression (24%), anxiety (19%), and post-traumatic stress (20%). Social support was strongly inversely associated with all 3 PMADs. Social support explained between 21% and 26% of the variance in depression, anxiety and post-traumatic stress symptoms. CONCLUSION: Increased social support may buffer PMAD symptoms in mothers of preterm infants after discharge. Research is needed to determine effective screening and interventions aimed at promoting social support for all parents during and following their infant's hospitalisation.
Entities:
Keywords:
Neonatal intensive care unit; mental health; mother; perinatal mood and anxiety disorders; social support
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